Steemit Learning Challenge-S22W4: Physical Therapy Intervention: Rotator Cuff Tendonitis

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Steemit Learning Challenge-S22W4: Physical Therapy Intervention: Rotator Cuff Tendonitis.

Rotator cuff tendonitis or, bursitis or biceps tendinitis is condition cahrartized by pain, swelling or inflammation in the tendon of rotator cuff and it's the group of muscles and tendons which are surrounding in the joints of the bursa.

Now what is bursa is soft sack which having little amount of fluid which cushions the joints. The rotator cuff has significant importance while stability and also facilitation the movement.

The Supraspinatus, infraspinatus, teres minor, subscapularis muscles are mostly involved in cuff tendonitis.

What are causes of Rotator Cuff Tendonitis?

The excessive use of tendons in lifting throwing and performing overhead activities perhaps it become the major cause of repetitive strain in the tendons and cause the inflammation and irritation.

The correct posture is very important if we are keeping our posture in hunching position it resultantly produced strain or pressure over cuff muscles and tendons.

The injuries are also become the cause of cuff tendonitis as the sudden jerk or fallen is involved in cuff tendonitis.

Aging is also a factor as we got old the tendon become weak and inflammation and pain is there passively.

The Symptoms of Rotator Cuff Tendonitis

The first symptom id pain or there is burning sensation around the arm and also in side of body.

The weakness is second symptoms as the patient felt difficulty in rotation, movement and lifting in the shoulder.

The sounds can be observed which is snapped while movement of shoulder.

The stages are as follows.

Stage 1: it's called mild stage followed by pain and swelling. Passively stiffness is noticeable in arm or shoulder. And it's common to reduce the mobility of the shoulder.

Stage 2: it is moderate stage in this case the degeneration of the tendon id observed due to weakening of the tendons. It is further involved in pain swelling and lowering the mobility of the shoulder.

Stage 3: it's the severe stage and called tears in the tendon. It's associated with chronic pain and also weakness Moreover muscle death is also started in the arm and shoulder.

Stage 4: it's the ending stage called advanced Tendon Tears. In this case tendons are torn out and muscles death is also there. Severe reduce in mobility of shoulder and arm.

How to Diagnosis of Rotator Cuff Tendonitis

In the first method of a diagnosis of the rotator cuff tendonitis is the physical examination in the doctor check the shoulder strength, mobility and tenderness of the shoulder.

It can be checked by imaging test such as ultrasounds MRI scan and x-ray etc.

Few special physiotherapy Tests are used for diagnosis which are as follows.

• Jobe's Test
• Hawkins-Kennedy
• Neer's test
• Empty can test
• Resisted external rotation test
• Yergason Test

1. Hawkins-Kennedy test: it's useful to check subacromial impingement. Physiotherapist stabilize the shoulder, perform internal rotation and 90 degree flexion at shoulder and then apply pressure on shoulder.

2. Neer's test: the subacromial impingement can be evaluated by this test. In this test patient perform 180 degree shoulder flexion as in rotator cuff tendonitis it's difficult for patient to complete the range.

3. Empty can test: it's quite useful for evaluation of supraspinatus tendon pathology. In this test patient position, elbow extended, shoulder flexed & abducted, mid pronation of forearm thumb pointed downward.

4. Resisted external rotation test: it's beneficial in assessing infraspinatus tendon pathology.

5. Yergason Test it's used to check the biceps the tear and tendon pathology.

The exercises I have performed.

Walk slide

Cross body shoulder stretch

Shoulder Isometric Exercises

It's all about my today's post.

I would love to invite my friends @m-fdo, @jannat12 and @mdkamran99 to take part in the challenge.